Based on: Inflammatory Bowel Disease (Crohn's/UC) — gene targets, candidate compounds and trials, OSMF Research Tracker (DGIdb, Open Targets, ChEMBL, PubMed and ClinicalTrials.gov data). Numbers are a snapshot taken 8 October 2026; the tracker page is the live version.
Short answer: as of October 2026, the OSMF Research Tracker lists 25 candidate interventions for Crohn's disease and ulcerative colitis that are either approved medicines or have at least one registered clinical trial, built on 14 druggable gene targets, with 15 recent trials on ClinicalTrials.gov. 0 are already approved medicines, for this condition or another one; where the approval is for a different condition, the trial is testing a new use, which is what drug repurposing means. Being in a trial says an intervention is being studied, not that it works; that is what the trial is for.
Which candidates have the most trial activity?
Ranked by the number of registered trials the tracker found. Each trial ID links to the registry entry, where you can read the design, status and sponsor.
- Vedolizumab — 4 registered trials · investigational · NCT03196427 NCT03138655 NCT07273760
- Anti-TNF Therapy — 2 registered trials · investigational · NCT03090139 NCT06896305
- Mirikizumab — 2 registered trials · investigational · NCT04844606
- AB (antibiotics) — 1 registered trial · investigational · NCT02033408
- Adalimumab — 1 registered trial · investigational · NCT04089514
- BDHK-2009 Tablets — 1 registered trial · investigational · NCT07632573
- Carnivore (Lion) Diet — 1 registered trial · investigational · NCT07524244
- CS (corticosteroids) Only — 1 registered trial · investigational · NCT02033408
- Cytochrome P450 (CYP) Substrates — 1 registered trial · investigational · NCT04254783
- Dexamethasone (IV) — 1 registered trial · investigational · NCT07385131
- Fecal Microbiota Transplantation (FMT) — 1 registered trial · investigational · NCT02108821
- Inflectra — 1 registered trial · investigational · NCT03801928
Which gene targets are these built on?
The tracker starts from genes with evidence of being druggable in Crohn's disease and ulcerative colitis and asks which compounds act on them. Each symbol links to its DGIdb entry, which lists the interacting drugs and the papers behind them: ATG16L1, FOXP3, IL10, IL12B, IL23A, IL23R, ITGA4, JAK1, JAK2, MADCAM1, NOD2, S1PR1, TNF, TYK2.
Which trials are registered?
- A Master Protocol (AMAZ): A Study of Mirikizumab (LY3074828) in Pediatric Participants With Ulcerative Colitis or Crohn's Disease (SHINE-ON) NCT04844606 · Recruiting · Phase PHASE3 · started 2021-05-26
- A Long-Term Extension Study of Vedolizumab in Children and Teenagers With Ulcerative Colitis (UC) or Crohn's Disease (CD) NCT06405087 · Recruiting · Phase PHASE3 · started 2025-10-27
- A Phase I Study to Evaluate the Safety/Tolerability of BDHK-2009 Tablets in Healthy Adult NCT07632573 · Recruiting · Phase PHASE1 · started 2026-05-18
- Zymfentra (Infliximab-dyyb) REal World Cohort STudy NCT07237516 · Recruiting · started 2025-11-20
- A Continuation Study of TAK-279 in Adults With Ulcerative Colitis (UC) and Crohn's Disease (CD) NCT06764615 · Recruiting · Phase PHASE2 · started 2025-05-28
- Long-term Safety With Vedolizumab Intravenous (IV) in Pediatric Participants With Ulcerative Colitis (UC) or Crohn's Disease (CD) NCT03196427 · Completed · Phase PHASE2 · started 2018-07-30
- Prospective Evaluation of the Carbon Footprint and Clinical Utility of IBUS Compared to Colonoscopy and Enterography in UC and CD NCT07431983 · Recruiting · started 2026-03-01
- A Study of Vedolizumab in Children With Ulcerative Colitis (UC) or Crohn's Disease (CD) NCT05442567 · Recruiting · Phase PHASE3 · started 2023-05-16
- A Study in Adults With Ulcerative Colitis (UC) or Crohn's Disease (CD) Receiving Vedolizumab in Real-World Practice in Poland NCT05384080 · Completed · started 2022-08-08
- Ketogenic and Carnivore (Lion) Diets for Inflammatory Bowel Disease and Rheumatoid Arthritis NCT07524244 · Recruiting · Phase NA · started 2026-02-17
How to read this
Evidence is graded on the tracker page in three tiers: clinical (tested in people), mechanistic (a documented action on the target) and correlative (an association in the literature). Most candidates sit in the lower tiers, and many trials are small or early-phase. The purpose of this list is to show where the research is, with sources, so that patients, clinicians and researchers can look further; it is not a ranking of what to take.
Related on this site
Research information, not medical advice. Decisions about any medicine belong with you and your clinician. The underlying data are open (CC BY 4.0) and refreshed daily; this note was generated from the tracker page on 8 October 2026.